Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.29 / $1,138.29 / $1,138.29	Facility		$1,138.29	$1,138.29	$1,138.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.26 / $1,138.29 / $1,138.29	Professional		$865.26	$1,138.29	$1,138.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219,999.78 / $539,999.46 / $949,999.05	Facility		$219,999.78	$539,999.46	$949,999.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,767.95 / $2,339.92 / $2,599.92	Professional		$1,767.95	$2,339.92	$2,599.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,988.29 / $1,988.29 / $2,048.17	Facility		$1,988.29	$1,988.29	$2,048.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,988.29 / $1,988.29 / $1,988.29	Professional		$1,988.29	$1,988.29	$1,988.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,638.35	Facility		$1,317.79	$1,317.79	$1,638.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $1,599.95	Professional		$961.99	$1,317.79	$1,599.95
United Facility/Professional Professional Modifier Low / Median / High Price $605.26 / $1,021.69 / $1,368.38	Professional		$605.26	$1,021.69	$1,368.38